Individual
MR. VINCENT CRETELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
20 CRYSTAL STREET, MONTICELLO, NY 12701
(845) 707-4326
(845) 707-4398
Mailing address
20 CRYSTAL STREET, MONTICELLO, NY 12701
(845) 707-4326
(845) 707-4398
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
303215-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03308192
—
NY
Enumeration date
09/30/2022
Last updated
09/15/2023
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